Septic Maintenance form 6-13-2024

Home Browse Search

Ende Septic Service, LLC, MPCA Lic #L2654 24910 Territorial Road • Rogers, MN 55374 Phone: 763-4284489 email: info(&endeseptic.com Maintenance ❑ Emergency ❑ Other Maintenance Inspection Form ❑ Tristan ❑ Brandon ❑ Scott XKurt ❑ Robert Disposal location: ❑ Land ap ❑ Treatment plant Date: r,/-/ 1.7 67,q Tank leaks below the Invoice Name: o 44- rvc(, Description: ?Rtat Xv s Address: 7,7,0'5 6 ;h a p n W(n Total Cost of Service: City/State/Zip: Mann PIA/ S5'3 6 Payment Method: ❑ Check ❑ Cash ❑ Credit Tank (check if present) Tank leaks below the Tank leaks above the Maintenance hole cover is ❑ Structural integrity designed operating designed operating damaged, cracked, ❑ Risers leaking depth depth unsecured, or appears to be ❑ Baffles ❑ Baffles ❑ Baffles structurally sound Weptic/holding Tank #1 ❑ Yes AgNo ❑ Yes A�No ❑ Yes 11 No rallons: ❑ Non-domestic waste ❑ Ponding/surfacing ZSeptic/holding Tank #2 El <,No ❑ Yes 64io ❑ Yes XNo Gallons: ❑ Yes ❑ No ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: ❑ Pump Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: Did you measure the accumulation of scum and sludge? ❑ Yes 4'No Access point: fTCover/maintenance hole; if so, were covers secured in place? JWYes ❑ No Access point: ❑ Inspection pipe; if through pipe, did homeowner sign off ? ❑ Yes ❑ No Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., cracked tanks, missing baffles, broken covers, etc.? If so, explain in comments below. Tank #1 ❑ Yes 95No Tank #2 ❑ Yes RFNo Pump Tank ❑ Yes ❑ No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ❑ Mound ❑ Risers leaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pressure bed ❑ Non-domestic waste ❑ Non-domestic waste ❑ Electrical issues ZVrenches ❑ Non-domestic waste ❑ Ponding/surfacing ❑ Effluent filter cleaned? ❑ Other: ❑ Yes ❑ No Comments: